| NPI | 1972031425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 1073) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR0007599) |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2021-02-23 |